A moving, meticulously researched, elegantly constructed work of nonfiction.
A perceptive and intelligent work about mental illness from the New Yorker staff writer.
In her debut, Aviv illuminates the shortcomings of modern psychiatry through four profiles of people whose states of being are ill-defined by current medical practice—particularly by those diagnoses laid out in the Diagnostic and Statistical Manual of Mental Disorders. Throughout, the author interweaves these vivid profiles with her own experiences. When she was 6, in the wake of her parents’ divorce, Aviv was diagnosed with anorexia despite her abiding sense that that label was inaccurate. Later, the author writes about taking Lexapro. “To some degree, Lexapro had been a social drug, a collective experience,” she writes. “After a sense of uncanny flourishing for several months, my friends and I began wondering if we should quit.” Aviv applies her signature conscientiousness and probing intellect to every section of this eye-opening book. Her profiles are memorable and empathetic: a once-successful American physician who sued the psychiatric hospital where he was treated; Bapu, an Indian woman whose intense devotion to a mystical branch of Hinduism was classified against her will as mental illness; Naomi, a young Black mother whose sense of personal and political oppression cannot be disentangled from her psychosis; and Laura, a privileged Harvard graduate and model patient whose diagnosis shifted over the years from bipolar disorder to borderline personality disorder. Aviv treats her subjects with both scholarly interest and genuine compassion, particularly in the case of Naomi, who was incarcerated for killing one of her twin sons. In the epilogue, the author revisits her childhood hospitalization for anorexia and chronicles the friendship she cultivated with a girl named Hava. They shared some biographical similarities, and the author recalls how she wanted to be just like Hava. However, for Aviv, her childhood disorder was merely a blip; for Hava, her illness became a lifelong “career.”
A moving, meticulously researched, elegantly constructed work of nonfiction.Pub Date: Sept. 13, 2022
ISBN: 978-0-374-60084-6
Page Count: 288
Publisher: Farrar, Straus and Giroux
Review Posted Online: May 24, 2022
Kirkus Reviews Issue: June 15, 2022
BOOK REVIEW
PERSPECTIVES
SEEN & HEARD
SEEN & HEARD
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...
A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.
Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”
A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.Pub Date: Jan. 19, 2016
ISBN: 978-0-8129-8840-6
Page Count: 248
Publisher: Random House
Review Posted Online: Sept. 29, 2015
Kirkus Reviews Issue: Oct. 15, 2015
PERSPECTIVES
A philosophically rich critique of state violence and mass apathy.
An Egyptian Canadian journalist writes searchingly of this time of war.
“Rules, conventions, morals, reality itself: all exist so long as their existence is convenient to the preservation of power.” So writes El Akkad, who goes on to state that one of the demands of modern power is that those subject to it must imagine that some group of people somewhere are not fully human. El Akkad’s pointed example is Gaza, the current destruction of which, he writes, is causing millions of people around the world to examine the supposedly rules-governed, democratic West and declare, “I want nothing to do with this.” El Akkad, author of the novel American War (2017), discerns hypocrisy and racism in the West’s defense of Ukraine and what he views as indifference toward the Palestinian people. No stranger to war zones himself—El Akkad was a correspondent in Afghanistan and Iraq—he writes with grim matter-of-factness about murdered children, famine, and the deliberate targeting of civilians. With no love for Zionism lost, he offers an equally harsh critique of Hamas, yet another one of the “entities obsessed with violence as an ethos, brutal in their treatment of minority groups who in their view should not exist, and self-decreed to be the true protectors of an entire religion.” Taking a global view, El Akkad, who lives in the U.S., finds almost every government and society wanting, and not least those, he says, that turn away and pretend not to know, behavior that we’ve seen before and that, in the spirit of his title, will one day be explained away until, in the end, it comes down to “a quiet unheard reckoning in the winter of life between the one who said nothing, did nothing, and their own soul.”
A philosophically rich critique of state violence and mass apathy.Pub Date: Feb. 25, 2025
ISBN: 9780593804148
Page Count: 224
Publisher: Knopf
Review Posted Online: Dec. 14, 2024
Kirkus Reviews Issue: Jan. 15, 2025
BOOK REVIEW
BOOK REVIEW
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